What Ezetrol is used for and how to use it
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Ezetrol - Consumer Medicine Information

Manufacture: Merck and Co., Inc.
Country: Canada
Condition: High Cholesterol, High Cholesterol, Familial Heterozygous, Sitosterolemia
Class: Cholesterol absorption inhibitors
Form: Tablets
Ingredients: ezetimibe, croscarmellose sodium, lactose monohydrate, magnesium stearate, microcrystalline cellulose, povidone, and sodium lauryl sulfate

ezetimibe tablets

About this Medication

What the Medication is Used For

EZETROL helps to reduce the amount of cholesterol and triglycerides in your blood in conjunction with lifestyle changes including exercise, diet, and weight management, when a response to such changes has been inadequate.

Cholesterol is one of several fatty substances found in the bloodstream. Your total cholesterol is made up mainly of low density lipoprotein cholesterol and high density lipoprotein cholesterol (LDL and HDL cholesterol).

LDL cholesterol is often called “bad” cholesterol because it can build up in the walls of your arteries forming plaque. Eventually this plaque build-up can lead to a narrowing of the arteries. This narrowing can slow or block blood flow to vital organs such as the heart and brain. This blocking of blood flow can result in a heart attack or stroke.

HDL cholesterol is often called “good” cholesterol because it helps keep the bad cholesterol from building up in the arteries and protects against heart disease.

Triglycerides are another form of fat in your blood that may increase your risk for heart disease.

EZETROL may be taken alone or with other cholesterol-lowering medicines known as statins or with another medicine known as fenofibrate, in addition to diet and other lifestyle changes (see INTERACTIONS WITH THIS MEDICATION). EZETROL adds to the cholesterol-lowering effect of statins and fenofibrate. Statins and fenofibrate lower cholesterol in a different way; they work in the liver.

What it Does

EZETROL works by decreasing the absorption of cholesterol in the small intestine.

When it should not be Used

  • Patients who are hypersensitive (allergic) to ezetimibe or any of the nonmedicinal ingredients should not take EZETROL.
  • Patients with liver disease, active or unexplained increases in liver enzymes (blood tests of liver function) should not take EZETROL together with a statin.
  • Patients who are pregnant should not take EZETROL together with a statin.
  • Patients who are nursing should not take EZETROL together with a statin.

What the Medicinal Ingredient Is

Ezetimibe.

What the Important Nonmedicinal Ingredients Are

Croscarmellose sodium, lactose monohydrate, magnesium stearate, microcrystalline cellulose, povidone, and sodium lauryl sulfate.

What Dosage Forms it Comes In

Tablet 10 mg (white to off-white).

Warnings and Precautions

Serious Warnings and Precautions

  • Liver disease (Hepatitis)
  • Pancreas disease (Pancreatitis)
  • Muscle pain (Myopathy/Rhabdomyolysis, myalgia)
  • Severe allergic reaction (Anaphylaxis)

Before you use EZETROL talk to your doctor if you:

  • are pregnant, plan to become pregnant or think you might be pregnant.
  • are breast-feeding. EZETROL may be passed in your milk to your baby.
  • have now or have had in the past any medical problems (including liver disease or liver problems).

Interactions with this Medication

You should always tell your doctor about all drugs that you are taking or plan to take as well as those obtained without a prescription.

Drugs that may interact with EZETROL include:

  • Cyclosporine
  • Cholestyramine (a resine/bile acid sequestrant) or any other bile acid sequestrant. In that case, EZETROL should be taken at least 2 hours before or 4 hours after taking the bile acid sequestrant.
  • Fibrates

Proper Use of this Medication

Usual Dose

  • EZETROL should be taken as directed. Take one 10 mg tablet by mouth each day, preferably at the same time of day. EZETROL can be taken with or without food.
  • Continue taking your other cholesterol-lowering medicines known as statins or fenofibrate unless your doctor tells you to stop.
  • If you are taking a statin or fenofibrate, EZETROL can be taken at the same time.
  • Even if you are taking medication to treat high cholesterol, it is important to have your cholesterol measured regularly. You should also know your cholesterol levels and goals.

Overdose

Take EZETROL only as prescribed for you. If you take more EZETROL than you were prescribed, contact your doctor or pharmacist.

In case of drug overdose, contact a health care practitioner, hospital emergency department or regional Poison Control Centre immediately, even if there are no symptoms.

Missed Dose

If you miss a dose, just resume the usual schedule of one tablet daily.

Side Effects and what to Do about Them

EZETROL is generally well tolerated.

  • When used alone, the following common side effects have been reported: abdominal pain; diarrhea; flatulence; tiredness; viral infection; throat infection (pharyngitis); nose infection (sinusitis); joint pain (arthralgia); back pain; and coughing.

    The following uncommon side effects have been reported: elevations in some laboratory blood tests of liver (transaminases) or muscle (CK) function; indigestion; heartburn; nausea; muscle spasms; neck pain; decreased appetite; hot flush; high blood pressure; chest pain and pain.

  • When used with a statin, the following common side effects have been reported: headache; tiredness; abdominal pain; diarrhea; joint pain (arthralgia); muscle pain (myalgia); back pain; throat infection (pharyngitis); nose infection (sinusitis); upper chest infection (respiratory tract); and changes in certain laboratory blood tests.

    The following uncommon side effects have been reported: tingling sensation; dry mouth; gastritis; itching; rash; hives; muscular weakness; pain in arms and legs; unusual tiredness or weakness; and swelling, especially in the hands and feet.

When used with fenofibrate, the following side effect was reported: abdominal pain

  • In general use, the following side effects have been reported: raised red rash, sometimes with target-shaped lesions; dizziness; depression; tingling sensation; constipation; and unusual tiredness or weakness.
  • You should contact your doctor if you develop persistent and severe muscle aches or pains with no obvious explanation at any time after starting to take EZETROL.

If you are prescribed EZETROL with a statin, your doctor will order routine blood tests to check your liver function before and after starting treatment.

Talk to your doctor anytime you have a medical problem you think may be related to EZETROL.

Serious Side Effects, how often they Happen and what to Do about Them

Symptoms / effects Talk with your
doctor or
pharmacist
Stop
taking
drug and
call your
doctor or
pharmacist
Only if
severe
In all
cases
Rare - Muscle aches and pains (Myopathy/Rhabdomyolysis)
- Sudden severe allergic reactions (swelling of the face, lips, tongue, and/or throat that may cause difficulty in breathing or swallowing, rash and hives).
- Symptoms of liver problems (severe abdominal pain, especially if felt on the upper right side below the ribs, dark urine, general itchiness, severe nausea or vomiting, pale stools, yellowing of skin or eyes)
- Symptoms of gallstones or inflammation of the gallbladder (severe abdominal pain, nausea, vomiting)
- Symptoms of pancreas problems (severe abdominal pain)

This is not a complete list of side effects. For any unexpected effects while taking EZETROL, contact your doctor or pharmacist.

How to Store It

Keep your medicine between 15°C and 30°C. Protect from moisture.

Keep EZETROL and all medicines out of the reach of children.

Do not use this medicine after the date shown following EX (or EXP) on the container.

Reporting Suspected Side Effects

You can report any suspected adverse reactions associated with the use of health products to the Canada Vigilance Program by one of the following 3 ways:

  • Report online at www.healthcanada.gc.ca/medeffect
  • Call toll-free at 1-866-234-2345
  • Complete a Canada Vigilance Reporting Form and:
    • Fax toll-free to 1-866-678-6789, or
    • Mail to:
      Canada Vigilance Program
      Health Canada
      Postal Locator 0701D
      Ottawa, Ontario
      K1A 0K9

Postage paid labels, Canada Vigilance Reporting Form and the adverse reaction reporting guidelines are available on the MedEffect Canada Web site at www.healthcanada.gc.ca/medeffect.

or Merck Canada Inc.:

By toll-free telephone: 1-800-567-2594
By toll-free fax: 1-877-428-8675

By regular mail:
Merck Canada Inc.
P.O. Box 1005
Pointe-Claire–Dorval, QC H9R 4P8

NOTE: Should you require information related to the management of the side effect, contact your health professional. The Canada Vigilance Program or Merck do not provide medical advice.

More Information

You may obtain further information from your doctor or pharmacist.

This document plus the full product monograph, prepared for health professionals can be found at:

http://www.merck.ca

or by contacting the sponsor, Merck Canada Inc., at:

1-800-567-2594